Midgut malrotation first presenting as acute bowel obstruction in adulthood: a case report and literature review.
Midgut malrotation first presenting as acute bowel obstruction in adulthood: a case report and literature review.
复制标题
DOI：
10.1186/1749-7922-6-22
复制
发表时间：
2011-07-29
期刊：
影响因子：
--
通讯作者：
Davies TW
中科院分区：
文献类型：
--
作者：
Emanuwa OF;Ayantunde AA;Davies TW
中肠旋转不良通常被认为是儿科的病理，大多数患者出现在儿童时期。这种诊断在成人中很少见，有时会导致诊断和治疗的延误。因此，在处理有腹部症状的任何年龄段的患者时，都需要高度怀疑。我们报告一位55岁男性患者，他在手术前以电脑断层扫描及手术发现证实中肠旋转，表现为急腹症。十二指肠、小肠、盲肠和阑尾位置异常，可见典型的Lade‘s带。没有肠扭转的证据。患者接受了紧急剖腹手术，术后恢复顺利。本文对文献进行了综述，以强调肠道旋转不良的罕见及其在成人人群中的治疗争议。
Malrotation of the midgut is generally regarded as paediatric pathology with the majority of patients presenting in childhood. The diagnosis is rare in adults, which sometimes leads to delay in diagnosis and treatment. A high index of suspicion is therefore required when dealing with patients of any age group with abdominal symptoms. We present a case of a 55-year old man who presented with an acute abdomen with preoperative computed tomography scan and operative findings confirming midgut rotation. The duodenum, small bowel, caecum and appendix were abnormally located, with the presence of classical Ladd's bands. There was no evidence of intestinal volvulus. The patient underwent an emergency laparotomy with an uneventful postoperative recovery. A review of the literature is presented to highlight the rarity of intestinal malrotation and the controversies surrounding its management in the adult population.
登录
查看更多内容
影响因子：
2.6
作者：
Fu, Tao;Tong, Wei Dong;Liu, Bao Hua
通讯作者：
Liu, Bao Hua
DOI：
10.1016/s0149-7944(03)00030-8
发表时间：
2003-09-01
期刊：
Current surgery
影响因子：
--
作者：
Gamblin, T Clark;Stephens, Richard E Jr;Rothwell, Michael
通讯作者：
Rothwell, Michael
影响因子：
3.9
作者：
VONFLUE, M;HERZOG, U;HARDER, F
通讯作者：
HARDER, F
影响因子：
3.9
作者：
Dietz, DW;Walsh, RM;Vogt, DP
通讯作者：
Vogt, DP
DOI：
10.1007/s004649900848
发表时间：
1998-11-01
期刊：
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
影响因子：
--
作者：
Bax, NMA;van der Zee, DC
通讯作者：
van der Zee, DC